Boris Serebryansky Md Pc | |
91a Carman Ave Cedarhurst NY 11516-1933 | |
(516) 569-1617 | |
(516) 569-3057 |
Full Name | Boris Serebryansky Md Pc |
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Speciality | Internal Medicine |
Location | 91a Carman Ave, Cedarhurst, New York |
Authorized Official Name and Position | Boris M. Serebryansky (PRESIDENT) |
Authorized Official Contact | 5165691617 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Boris Serebryansky Md Pc 91a Carman Ave Cedarhurst NY 11516-1933 Ph: (516) 569-1617 | Boris Serebryansky Md Pc 91a Carman Ave Cedarhurst NY 11516-1933 Ph: (516) 569-1617 |
NPI Number | 1588909584 |
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Provider Enumeration Date | 12/02/2012 |
Last Update Date | 12/02/2012 |
Medicare PECOS PAC ID | 4082859194 |
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Medicare Enrollment ID | O20130320000450 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588909584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Boris M Serebryansky |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275586182 PECOS PAC ID: 8729006671 Enrollment ID: I20051109000292 |
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